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In the CY 2019 PFS final rule (83 FR 59965 through 59966), we finalized the addition of prolonged evaluation and management or psychotherapy service(s) beyond the typical service time of the primary procedure (CPT codes 99354 and 99355) to the definition of primary care services used for purposes of assignment because these two codes are add-on codes that describe additional resource components of a broader service furnished in the office or other outpatient setting that are not accounted for in the valuation of the base codes